---
layout: apr_report
title: State APR report
---
Missouri 2025
General Information
Statewide AT Program (Information to be listed in national State AT Program Directory)
State AT Program Title:
Missouri Assistive Technology
State AT Program Title:
State AT Program URL
www.at.mo.gov
Mailing Address:
1501 N.W. Jefferson
City:
Blue Springs
State:
Missouri
Zip Code:
64015
Program Email:
info@mo-at.org
Phone:
816-655-6700
TTY:
816-655-6710
Lead Agency
Agency Name:
Missouri Assistive Technology
Mailing Address:
1501 N.W. Jefferson
City:
Blue Springs
State:
Missouri
Zip Code:
64015
Program URL:
www.at.mo.gov
Implementing Entity
Name of Implementing Agency:
Mailing Address:
City
State:
Zip Code:
Program URL:
Program Director and Other Contacts
Program Director for State AT Program (last, first):
Baker, David
Title:
Director
Phone:
816-655-6707
E-mail:
dbaker@mo-at.org
Program Director at Lead Agency (last, first):
Baker, David
Title:
Director
Phone:
816-655-6707
E-mail:
dbaker@mo-at.org
Primary Contact at Implementing Agency (last, first) - If applicable:
Title:
Phone:
E-mail:
Person Responsible for completing this form if other than Program Director
Name (last, first):
Title:
Phone:
E-mail:
Certifying Representative
Name (last, first):
Baker, David
Title:
Director
Phone:
816-655-6707
E-mail:
dbaker@mo-at.org
State Financing
Did your approved state plan for this reporting period include any State Financing?
Yes
Did your approved state plan for this reporting period include conducting a Financial Loan Program?
Yes
Loan Applications
Area of Residence
Total
Metro RUCC 1-3
Non-Metro RUCC 4-9
Approved Loan made
14
09
23
Approved Not made
01
00
01
Rejected
02
02
04
Total
17
11
28
2. Income of Applicants to Whom Loans Were Made
Lowest/Highest Incomes
Lowest Income:
$7,544
Highest Income:
$163,303
Average Income
Sum of Incomes
Loans Made
Average Annual Income
$1,623,372
23
$70,581
Number and Percentage of Loans Made to Applicants by Income Range
Income Ranges
Total
$15,000 or Less
$15,001- $30,000
$30,001- $45,000
$45,001- $60,000
$60,001- $75,000
$75,001 or More
Number of Loans
05
07
02
00
00
09
23
Percentage of Loans
21.74%
30.43%
8.7%
0%
0%
39.13%
100%
3. Loan Type
Loan Type
Type of Loan
Number of Loans
Percentage of loans
Revolving Loans
23
100%
Partnership Loans
Without interest buy-down or loan guarantee
00
0%
With interest buy-down only
00
0%
With loan guarantee only
00
0%
With both interest buy-down and loan guarantee
00
0%
Total
23
100%
Loan Type Summary
Type of Loan
Number of Loans
Dollar Value of Loans
Revolving Loans
23
$401,311
Partnership Loans
00
$0
Total
23
$401,311
4. Interest Rates
Interest Rates
Lowest
1%
Highest
4%
Interest Rate Summary
Sum of Interest Rates
Number of Loans Made
Average Interest Rate
80
23
3.47826086956522%
Number of Loans Made by Interest Rate
Interest Rate
Number of loans
0.0% to 2.0%
03
2.1% to 4.0%
20
4.1% to 6.0%
00
6.1% to 8.0%
00
8.1% - 10.0%
00
10.1%-12.0%
00
12.1%-14.0%
00
14.1% +
00
Total
23
5. Types and Dollar Amounts of AT Financed
Types and Dollar Amounts of AT Financed
Type of AT
Number of Devices Financed
Dollar Value of Loans
Vision
01
$2,140
Hearing
06
$24,250
Speech communication
00
$0
Learning, cognition, and developmental
00
$0
Mobility, seating and positioning
02
$4,700
Daily living
00
$0
Environmental adaptations
03
$48,267
Vehicle modification and transportation
11
$321,954
Computers and related
00
$0
Recreation, sports, and leisure
00
$0
Total
23
$401,311
6. Defaults
Defaults
Number Loans in default
12
Net loss for loans in default
$27,444
B. State Financing Activities that provide consumers with resources and services that result in the acquisition of AT devices and services
1. Overview of Activities Performed
How many other state financing activities that provide consumers with access to funds for the purchase of AT devices and services were included in your approved state plan?
5
Activity 1
How would you describe this state financing activity?
Other: iCanConnect (DeafBlind)
2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected
County of Residence
Individuals Served
A. Metro (RUCC 1-3)
42
B. Non-Metro (RUCC 4-9)
11
C. Total Served
53
Performance Measure
D. Excluded from Performance Measure
0
E. Number of Individuals Included in Performance Measures
53
If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance measure:
3. Types and Dollar Amounts of AT Funded
Type of AT Device / Service
Number of Devices Funded
Value of AT Provided
Vision
57
$48,173
Hearing
28
$18,168
Speech communication
0
$0
Learning, cognition, and developmental
0
$0
Mobility, seating and positioning
0
$0
Daily living
0
$0
Environmental adaptations
0
$0
Vehicle modification and transportation
0
$0
Computers and related
52
$64,509
Recreation, sports, and leisure
0
$0
Total
137
$130,850
Activity 2
How would you describe this state financing activity?
Other: School Reimbursement Program
2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected
County of Residence
Individuals Served
A. Metro (RUCC 1-3)
197
B. Non-Metro (RUCC 4-9)
120
C. Total Served
317
Performance Measure
D. Excluded from Performance Measure
317
E. Number of Individuals Included in Performance Measures
0
If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance measure:
School districts have legal obligations to fund AT under IDEA
3. Types and Dollar Amounts of AT Funded
Type of AT Device / Service
Number of Devices Funded
Value of AT Provided
Vision
67
$144,165
Hearing
23
$45,248
Speech communication
171
$378,126
Learning, cognition, and developmental
70
$34,695
Mobility, seating and positioning
0
$0
Daily living
0
$0
Environmental adaptations
7
$3,245
Vehicle modification and transportation
0
$0
Computers and related
56
$56,871
Recreation, sports, and leisure
0
$0
Total
394
$662,350
Activity 3
How would you describe this state financing activity?
Other: Missouri Caregiver Program
2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected
County of Residence
Individuals Served
A. Metro (RUCC 1-3)
152
B. Non-Metro (RUCC 4-9)
21
C. Total Served
173
Performance Measure
D. Excluded from Performance Measure
0
E. Number of Individuals Included in Performance Measures
173
If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance measure:
3. Types and Dollar Amounts of AT Funded
Type of AT Device / Service
Number of Devices Funded
Value of AT Provided
Vision
0
$0
Hearing
0
$0
Speech communication
0
$0
Learning, cognition, and developmental
0
$0
Mobility, seating and positioning
0
$0
Daily living
508
$51,308
Environmental adaptations
227
$12,939
Vehicle modification and transportation
0
$0
Computers and related
47
$14,100
Recreation, sports, and leisure
0
$0
Total
782
$78,347
Activity 4
How would you describe this state financing activity?
Telecommunications equipment distribution
2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected
County of Residence
Individuals Served
A. Metro (RUCC 1-3)
275
B. Non-Metro (RUCC 4-9)
92
C. Total Served
367
Performance Measure
D. Excluded from Performance Measure
0
E. Number of Individuals Included in Performance Measures
367
If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance measure:
3. Types and Dollar Amounts of AT Funded
Type of AT Device / Service
Number of Devices Funded
Value of AT Provided
Vision
337
$219,014
Hearing
129
$37,839
Speech communication
3
$1,989
Learning, cognition, and developmental
17
$8,362
Mobility, seating and positioning
6
$1,767
Daily living
5
$8,835
Environmental adaptations
0
$0
Vehicle modification and transportation
0
$0
Computers and related
96
$53,954
Recreation, sports, and leisure
0
$0
Total
593
$331,760
Activity 5
How would you describe this state financing activity?
Last resort - Activity
2. Geographic Distribution, Number of Individuals Who Acquired AT Devices and Services and Number for whom Performance Measure Data are Collected
County of Residence
Individuals Served
A. Metro (RUCC 1-3)
8
B. Non-Metro (RUCC 4-9)
14
C. Total Served
22
Performance Measure
D. Excluded from Performance Measure
0
E. Number of Individuals Included in Performance Measures
22
If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance measure:
3. Types and Dollar Amounts of AT Funded
Type of AT Device / Service
Number of Devices Funded
Value of AT Provided
Vision
1
$3,295
Hearing
0
$0
Speech communication
1
$407
Learning, cognition, and developmental
0
$0
Mobility, seating and positioning
14
$43,228
Daily living
0
$0
Environmental adaptations
4
$45,247
Vehicle modification and transportation
1
$4,203
Computers and related
0
$0
Recreation, sports, and leisure
1
$2,253
Total
22
$98,633
C. State Financing Activities that Allow Consumers to Obtain AT at Reduced Cost
1. Overview of Activities Performed
How many state financing activities that allow consumers to obtain AT at a reduced cost were included in your approved state plan?
1
Activity 1
How would you describe this state financing activity?
AT Fabrication or AT Maker Program
2. Geographic Distribution and Number of Individuals Served
County of Residence
Individuals Served
A. Metro (RUCC 1-3)
133
B. Non-Metro (RUCC 4-9)
123
C. Total Served
256
Performance Measure
D. Excluded from Performance Measure
0
E. Number of Individuals Included in Performance Measures
256
If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance measure:
3. Types and Dollar Amounts of AT Funded
Type of AT Device / Service
Number Provided
Total Estimated Current Retail Purchase Price
Total Price for Which Devices Were Sold
Savings to Consumers
Vision
74
$1,332
$0
$1,332
Hearing
0
$0
$0
$0
Speech communication
0
$0
$0
$0
Learning, cognition, and developmental
15
$2,085
$0
$2,085
Mobility, seating and positioning
0
$0
$0
$0
Daily living
579
$7,064
$0
$7,064
Environmental adaptations
0
$0
$0
$0
Vehicle modification and transportation
0
$0
$0
$0
Computers and related
0
$0
$0
$0
Recreation, sports, and leisure
2
$24
$0
$24
Total
670
$10,505
$0
$10,505
D. Anecdote
A caregiver in the St. Louis area supporting her husband on hospice found life-changing support through the use of smart home and fall-prevention technology she was able to obtain through the Missouri Caregiver Program. With frequent deliveries of groceries, medications, and essential supplies—and regular visits from hospice nurses—she needed a reliable way to monitor activity at her home and ensure her husband’s safety.
Through the program, she received smart home devices, including indoor and outdoor cameras, along with fall-prevention tools. These devices quickly became part of her daily routine, offering not just convenience but real impact. Falls were prevented, visitors and deliveries could be monitored with ease, and the added peace of mind allowed her to focus more fully on caring for her husband.
She described the technology as “extremely useful, helpful, and practical,” noting that it made a meaningful difference during an incredibly challenging time. She expressed deep gratitude for the thoughtful use of tax dollars that made this support possible.
A school district participating in Missouri Assistive Technology’s Assistive Technology Reimbursement (ATR) Program shared how transformative the support has been for their students. The program has made it possible for the district to provide the right equipment for each child—tools that truly match individual needs rather than settling for something that is merely “good enough” or temporary.
With hearing aids becoming increasingly advanced and wireless, the ATR Program has allowed the district to keep pace with rapid technological changes. Students are now receiving high-quality, up-to-date devices that deliver superior sound and stronger connectivity. This has made a remarkable difference in both access and comfort.
Because students are equipped with devices that genuinely help them succeed, their acceptance and continued use of assistive technology has grown—carrying with them not just through elementary years, but into middle school and high school as well.
E. Performance Measures
Performance Measures
Response
Primary Purpose for Which AT is Needed
Total
Education
Employment
Community Living
1. Could only afford the AT through the AT program.
00
00
662
662
2. AT was only available through the AT program.
00
00
188
188
3. AT was available through other programs, but the system was too complex or the wait time too long.
00
00
00
00
4. Subtotal
00
00
850
850
5. None of the above
00
00
00
00
6. Subtotal
00
00
850
850
7. Nonrespondent
00
00
44
44
8. Total
00
00
894
894
9. Performance on this measure
NaN%
NaN%
95.08%
F. Customer Satisfaction
Satisfaction
Customer Rating of Services
Number of Customers
Percent
Highly satisfied
691
57.06%
Satisfied
59
4.87%
Satisfied somewhat
19
1.57%
Not at all satisfied
17
1.4%
Nonrespondent
425
35.09%
Total Surveyed
1,211
Response rate %
64.91%
G. Notes:
Reutilization
A. Number of Recipients of Reused Devices
Activity
Number of Individuals Receiving a Device from Activity
A. Device Exchange
06
B. Device Refurbish/Repair - Reassign and/or Open Ended Loan
3,126
C. Total
3,132
Performance Measure
D. Excluded from Performance Measure because AT is provided to or on behalf of an entity that has an obligation to provide the AT such as schools under IDEA or VR agencies/clients.
00
E. Number of Individuals Included in Performance Measures
3,132
If a number is reported in D you must provide a description of the reason the individuals are excluded from the performance
B. Device Exchange Activities
Device Exchange
Type of AT Device
Number of Devices Exchanged
Total Estimated Current Purchase Price
Total Price for Which Device(s) Were Exchanged
Savings to Consumers
Vision
00
$0
$0
$0
Hearing
00
$0
$0
$0
Speech Communication
00
$0
$0
$0
Learning, Cognition and Developmental
00
$0
$0
$0
Mobility, Seating and Positioning
05
$840
$0
$840
Daily Living
05
$2,225
$0
$2,225
Environmental Adaptations
00
$0
$0
$0
Vehicle Modification & Transportation
00
$0
$0
$0
Computers and Related
00
$0
$0
$0
Recreation, Sports and Leisure
00
$0
$0
$0
Total
10
$3,065
$0
$3,065
C. Device Refurbish/Repair - Reassignment and/or Open Ended Loan Activities
Device Reassign/Repair/Refurbish and/or OEL
Type of AT Device
Number of Devices Reassigned/Refurbished and Repaired
Total Estimated Current Purchase Price
Total Price for Which Device(s) Were Sold
Savings to Consumers
Vision
60
$32,423
$12
$32,411
Hearing
05
$803
$0
$803
Speech Communication
02
$2,295
$0
$2,295
Learning, Cognition and Developmental
03
$688
$0
$688
Mobility, Seating and Positioning
1,930
$1,069,099
$36,007
$1,033,092
Daily Living
2,331
$602,690
$35,419
$567,271
Environmental Adaptations
45
$6,169
$0
$6,169
Vehicle Modification & Transportation
07
$7,325
$0
$7,325
Computers and Related
01
$140
$0
$140
Recreation, Sports and Leisure
20
$9,905
$0
$9,905
Total
4,404
$1,731,537
$71,438
$1,660,099
D. Anecdote
Ellen is a vibrant young woman who had gradually become inactive and isolated because foot pain made it difficult for her to walk any distance. Knowing she needed a solution, she reached out to SIL, where she had previously received a rollator, to ask whether any power scooters or wheelchairs might be available through the Reuse Program. She was added to the waitlist and later visited SIL for a hands-on demonstration to explore which mobility device might best meet her needs.
When a few suitable options became available, Ellen returned with her friend Steve to try them out. She ultimately chose a lightweight power scooter that fit her lifestyle and comfort level. By coincidence, Tom—an acquaintance of both Ellen and Steve—was at SIL that day. The three of them celebrated together, and everyone proudly joined in for a group photo to share with MO-AT.
The very next day, Ellen contacted SIL to say how much she loves her new scooter—and that her mom loves it too, because it has restored so much independence. “It was worth the wait,” Ellen said. “Now I can go shopping, go to the mall, and do activities outside. I can do so many more things.”
E. Performance Measures
Performance Measures
Response
Primary Purpose for Which AT is Needed
Total
Education
Employment
Community Living
1. Could only afford the AT through the AT program.
05
14
1,563
1,582
2. AT was only available through the AT program.
02
04
1,200
1,206
3. AT was available through other programs, but the system was too complex or the wait time too long.
02
01
224
227
4. Subtotal
09
19
2,987
3,015
5. None of the above
00
00
107
107
6. Subtotal
09
19
3,094
3,122
7. Nonrespondent
00
00
10
10
8. Total
09
19
3,104
3,132
9. Performance on this measure
100%
100%
96.23%
F. Customer Satisfaction
Satisfaction
Customer Rating of Services
Number of Customers
Percent
Highly satisfied
2,765
88.28%
Satisfied
365
11.65%
Satisfied somewhat
02
0.06%
Not at all satisfied
00
0%
Nonrespondent
00
0%
Total Surveyed
3,132
Response rate %
100%
G. Notes:
Device Loan
A. Short-Term Device Loans by Type of Purpose
Loans By Purpose
Primary Purpose of Short-Term Device Loan
Number
Assist in decision-making (device trial or evaluation)
1,015
Serve as loaner during service repair or while waiting for funding
17
Provide an accommodation on a short-term basis for a time-limited event/situation
10
Conduct training, self-education or other professional development activity
17
Total
1,059
B. Short-Term Device Loan by Type of Borrower
LOANS BY TYPE OF BORROWER
Type of Individual or Entity
Number of Device Borrowers
Desicion-making
All other Purposes
Total
Individuals with Disabilities
11
02
13
Family Members, Guardians, and Authorized Representatives
05
03
08
Representative of Education
653
14
667
Representative of Employment
16
05
21
Representatives of Health, Allied Health, and Rehabilitation
283
04
287
Representatives of Community Living
42
09
51
Representatives of Technology
05
07
12
Total
1,015
44
1,059
C. Length of Short-Term Device Loans
Length of Short-Term Device Loan in Days
35
D. Types of Devices Loaned
Types of Devices Loaned
Type of AT Device
Number of Devices
Desicion-making
All other Purposes
Total
Vision
140
12
152
Hearing
58
00
58
Speech Communication
1,341
08
1,349
Learning, Cognition and Developmental
258
02
260
Mobility, Seating and Positioning
00
00
00
Daily Living
56
17
73
Environmental Adaptations
371
03
374
Vehicle Modification and Transportation
03
00
03
Computers and Related
621
16
637
Recreation, Sports and Leisure
00
01
01
Total
2,848
59
2,907
E. Anecdote
Tracy, from Puxico R-8 School District, reached out to Missouri Assistive Technology with a practical question: Was there a way to keep students locked within a communication app on an iPad, or would the district need separate dedicated devices? We walked through how to enable Guided Access, a built-in iPad accessibility feature that keeps students from accidentally exiting their communication app—an easy solution that can have a big impact.
To explore communication options further, Tracy borrowed an iPad with the LAMP Words for Life communication app through Missouri Assistive Technology’s device loan program. The program allows districts—especially smaller, rural districts like Puxico R-8—to try specialized devices before committing resources, ensuring students get the right tools for their needs.
Tracy implemented the device with three students and later shared the impact:
“The AT device was implemented with three different students and had a significant positive impact. It enabled each student to express their wants, needs, and feelings more effectively. As a result, frustration related to communication barriers decreased, allowing the students to engage more successfully with others and experience growth across all areas of development.”
For these students, access to the right communication technology didn’t just support classroom success—it reduced frustration, strengthened interactions with teachers and peers, and opened the door for meaningful progress.
F. Access Performance Measures
Access Performance Measures
Response
Primary Purpose for Which AT is Needed
Total
Education
Employment
Community Living
Decided that AT device/service will meet needs
400
19
210
629
Decided that an AT device/ service will not meet needs
96
01
36
133
Subtotal
496
20
246
762
Have not made a decision
160
03
58
221
Subtotal
656
23
304
983
Nonrespondent
15
00
17
32
Total
671
23
321
1,015
Performance on this measure
75.61%
86.96%
80.92%
G. Acquisition Performance Measures
Acquisition Performance Measures
Response
Primary Purpose for Which AT is Needed
Total
Education
Employment
Community Living
1. Could only afford the AT through the AT program.
16
04
13
33
2. AT was only available through the AT program.
00
01
07
08
3. AT was available through other programs, but the system was too complex or the wait time too long.
00
00
00
00
4. Subtotal
16
05
20
41
5. None of the above
00
00
00
00
6. Subtotal
16
05
20
41
7. Nonrespondent
00
00
03
03
8. Total
16
05
23
44
9. Performance on this measure
100%
100%
100%
H. Customer Satisfaction
Satisfaction
Customer Rating of Services
Number of Customers
Percent
Highly satisfied
898
84.8%
Satisfied
51
4.82%
Satisfied somewhat
05
0.47%
Not at all satisfied
02
0.19%
Nonrespondent
103
9.73%
Total Surveyed
1,059
Response rate %
90.27%
I. Notes:
Device Demonstration
A. Number of Device Demonstrations by Device Type
Type of AT Device / Service
Number of Demonstrations of AT Devices / Services
Vision
353
Hearing
174
Speech Communication
28
Learning, Cognition and Developmental
15
Mobility, Seating and Positioning
186
Daily Living
229
Environmental Adaptations
51
Vehicle Modification and Transportation
02
Computers and Related
36
Recreation, Sports and Leisure
08
Total # of Device Demonstrations
1,082
B. Types of Participants
Type of Participant
Decision-Makers
Other Participants
Total
Individuals with Disabilities
888
21
909
Family Members, Guardians, and Authorized Representatives
127
214
341
Representatives of Education
16
05
21
Representatives of Employment
23
15
38
Health, Allied Health, Rehabilitation
19
15
34
Representative of Community Living
06
09
15
Representative of Technology
03
02
05
Total
1,082
281
1,363
C. Number of Referrals
Referrals
Type of Entity
Number of Referrals
Funding Source (non-AT program)
69
Service Provider
90
Vendor
125
Repair Service
01
Others
12
Total
297
D. Anecdote
Jeff contacted our office as he prepared for upcoming foot surgery and needed equipment that would allow him to return to work safely while following his non–weight-bearing restrictions. I first showed him a set of crutches, but after trying them, Jeff realized they weren’t safe for him because of a recent shoulder surgery.
Next, I demonstrated a knee scooter, which offered the stability and mobility he needed without putting weight on his recovering foot. Jeff felt confident this would allow him to continue working while healing.
He also needed something to help him shower safely without getting his foot wet. After looking at both a transfer bench and a standard shower chair, Jeff decided the shower chair would meet his needs and allow him to bathe safely and independently.
With the knee scooter and shower chair, Jeff was able to return to work and continue his recovery while maintaining both safety and independence.
E. Performance Measures
Performance Measures
Response
Primary Purpose for Which AT is Needed
Total
Education
Employment
Community Living
Decided that AT device/service will meet needs
79
69
827
975
Decided that an AT device/ service will not meet needs
05
02
26
33
Subtotal
84
71
853
1,008
Have not made a decision
13
05
28
46
Subtotal
97
76
881
1,054
Nonrespondent
03
04
21
28
Total
100
80
902
1,082
Performance on this measure
84%
88.75%
94.57%
F. Customer Satisfaction
Satisfaction
Customer Rating of Services
Number of Customers
Percent
Highly satisfied
1,022
74.98%
Satisfied
114
8.36%
Satisfied somewhat
37
2.71%
Not at all satisfied
04
0.29%
Nonrespondent
186
13.65%
Total
1,363
Response rate %
86.35%
G. Notes:
Overall Performance Measures
Overall Acquisition Performance Measure
Acquisition Performance Measures
Response
Primary Purpose for Which AT is Needed
Total
Education
Employment
Community Living
1. Could only afford the AT through the AT program.
21
18
2,238
2,277
2. AT was only available through the AT program.
02
05
1,395
1,402
3. AT was available through other programs, but the system was too complex or the wait time too long.
02
01
224
227
4. Subtotal
25
24
3,857
3,906
5. None of the above
00
00
107
107
6. Subtotal
25
24
3,964
4,013
7. Nonrespondent
00
00
57
57
8. Total
25
24
4,021
4,070
9. Performance on this measure
92%
95.83%
90.42%
90.46%
ACL Performance Measure
85%
Met/Not Met
Met
Overall Access Performance Measure
Access Performance Measures
Response
Primary Purpose for Which AT is Needed
Total
Education
Employment
Community Living
Decided that AT device/service will meet needs
479
88
1,037
1,604
Decided that an AT device/ service will not meet needs
101
03
62
166
Subtotal
580
91
1,099
1,770
Have not made a decision
173
08
86
267
Subtotal
753
99
1,185
2,037
Nonrespondent
18
04
38
60
Total
771
103
1,223
2,097
Performance on this measure
76.72%
88.35%
91.13%
85.71%
ACL Performance Measure
90%
Met/Not Met
Not Met
Overall Satisfaction Rating
Customer Rating of Services
Percent
ACL Target
Met/Not Met
Highly satisfied and satisfied
98.58%
95%
Met
Response Rate
89.45%
90%
Not Met
Educational/Training Activities
A. Educational/Training Activity Participants: Number and Types of Participants; Geographical Distribution
Educational/Training Activities by Participant Type
Type of Participant
Number
Individuals with Disabilities
471
Family Members, Guardians and Authorized Representatives
87
Representatives of Education
364
Representatives of Employment
221
Rep Health, Allied Health, and Rehabilitation
333
Representatives of Community Living
1,102
Representatives of Technology
298
Unable to Categorize
315
TOTAL
3,191
Geographic Distribution of Participants
Metro
Non Metro
Unknown
TOTAL
2,256
935
00
3,191
B. Educational/Training Activity Topics
Educational/Training Activities by Topic
Primary Topic of Educational/Training Activities
Participants
AT Products/Services
1,624
AT Funding/Policy/ Practice
247
Combination of any/all of the above
923
Information Technology/Telecommunication Access
366
Transition
31
Total
3,191
C. Description of Educational/Training Activities
Describe innovative one high-impact assistance educational/training activity conducted during the reporting period:
During this reporting period, Missouri Assistive Technology (MoAT) expanded public awareness of assistive technology through its continued partnership with the Missouri Open Door Technology Series, coordinated by the UMKC Institute for Human Development and aligned with the Charting the LifeCourse (CtLC) Framework. This collaboration provided a statewide platform to introduce assistive technology concepts to individuals with disabilities, families, service coordinators, and professionals. Through presentations and practical demonstrations, the series strengthened understanding of how AT supports autonomy, access, and person-centered planning across home, school, community, and employment settings.
Briefly describe one educational/training activity related to transition conducted during the reporting period:
MoAT participated in and presented at the yearly Transition Training Institute hosted by the state’s department of education. The session presented focused on practical strategies for planning and integrating assistive technology into the transition from K-12 to adulthood for students with disabilities. The session highlighted best practices for ensuring continuity of technology, promoting student self-advocacy, and preparing families and educators to support successful transitions that include assistive technology. This session was also presented to a parent group in October.
Briefly describe one educational/training activity related to Information and Communication Technology accessibility:
In conjunction with the Information Technology Services Division of Missouri’s Office of Administration, we hosted the first Missouri Web Accessibility Summit in Jefferson City in April. This one day event had as its purpose and goal to deepen knowledge and understanding of digital accessibility and strengthen the ability of attendees to implement greater digital accessibility. Approximately 150 individuals attended the event and attended sessions on a broad mix of digital accessibility topics including creating a web accessibility roadmap and plan, vendor accessibility and the procurement process, accessible data visualization and plain language writing. While open to anyone, the primary audience for this event was state and local government staff responsible for web content; educators producing web materials; and leadership/stakeholders in government and educational institutions concerned with digital accessibility compliance and inclusion.
D. IT/Telecommunications Educational/Training Activity Performance Measure
Outcome/Result From IT/Telecommunications Educational/Training Activities Received
Number
IT and Telecommunications Procurement or Dev Policies
152
Training or Technical Assistance will be developed or implemented
174
No known outcome at this time
36
Nonrespondent
04
Total
366
Performance Measure Percentage
89.1%
ACL Target Percentage
70%
Met/Not Met
Met
E. Notes:
The decline in training participation this year reflects MoAT’s decision to pause its annual conference.
Technical Assistance
A. Frequency and Nature of Technical Assistance
Technical Assistance by Recipient Type
Education
10%
Employment
10%
Health, Allied Health, Rehabilitation
00%
Community Living
50%
Technology (IT, Telecom, AT)
30%
Total
100%
B. Description of Technical Assistance
Describe Innovative one high-impact assistance activity that is not related to transition:
Missouri is reimagining its State Schools for the Severely Disabled by shifting toward more inclusive, person-centered models that emphasize access to assistive technology, expanded communication supports, and pathways to greater independence and community engagement. Missouri Assistive Technology has been an active partner in this effort offering guidance and support around issues concerning assistive technology selection and implementation.
Breifly describe one technical assistance activity related to transition conducted during the reporting period:
C. Notes:
Public Awareness
Public Awareness Activities
Public Awareness Narratives
Describe in detail at least one and no more than two innovative or high-impact public awareness activities conducted during this reporting period. Highlight
the content/focus of the awareness information shared, the mechanism used to disseminate or communicate the awareness information, the numbers and/or types
of individuals reached, and positive outcomes resulting from the activity. If quantative numbers are available regarding the reach of the activity, please provide
those: however, quantative data is not required.
1. Missouri Assistive Technology (MoAT) expanded public awareness through its partnership with the Missouri Open Door Technology Series, coordinated by UMKC’s Institute for Human Development and aligned with the Charting the LifeCourse (CtLC) Framework. This collaboration provided a statewide platform to share person-centered assistive technology information with individuals with disabilities, family members, support coordinators, and professionals.
Content shared focused on practical AT solutions supporting independence, safety, communication, and community participation. MoAT presented on AT within the CtLC Integrated Supports framework; demonstrations of low-, mid-, and high-tech tools; real-world examples across life domains; guidance on matching technology to individual needs; and information on MoAT services including device loans, demonstrations, 3D-printed adaptations, and funding resources.
Dissemination occurred through statewide virtual sessions that were recorded and shared on-demand. Sessions were promoted through IHD networks, DMH, schools, Centers for Independent Living, Regional Offices, social media, listservs, and community partners.
Reach included hundreds of participants statewide—individuals with disabilities, family caregivers, educators, employment staff, and support coordinators. Recorded content extended reach beyond live events.
Outcomes included increased awareness and referrals, greater incorporation of AT into person-centered planning, expanded access to AT education for rural families, and sustained engagement through follow-up demonstrations, device loans, and interest in other MoAT programs.
2.
Information And Assistance
Information And Assistance Activities by Recipient
Types of Recipients
AT Device/ Service
AT Funding
Total
Individuals with Disabilities
1,358
422
1,780
Family Members, Guardians and Authorized Representatives
1,102
283
1,385
Representative of Education
1,950
682
2,632
Representative of Employment
149
22
171
Representative of Health, Allied Health, and Rehabilitation
695
114
809
Representative of Community Living
2,042
183
2,225
Representative of Technology
77
16
93
Unable to Categorize
00
00
00
Total
7,373
1,722
9,095
Referral Types:
Raising awareness among seniors and their families has been a priority for us over the past several years. As previously reported, our outreach at conferences and public events geared toward this population has increasingly featured 3D-printed, low-tech devices—such as adapted nail clippers, bottle openers, and pill poppers—as conversation starters. These simple, hands-on tools consistently draw attention and help open discussions about assistive technology in a more approachable way.
We also equip all 10 of the state’s Area Agencies on Aging with kits that include 3D-printed devices and MoAT promotional materials, encouraging them to share these resources with the individuals they serve. In addition, through our partnership with organizations administering technology under the Missouri Caregiver Program, we have seen a growing number of family caregivers—particularly those supporting someone with memory loss—spreading the word about the program and MoAT’s services.
Collectively, these efforts have contributed to a significant increase in engagement, reflected in the near doubling of family members who contacted us this past year.
Referral Sources:
MoAT’s referral network spans a wide range of organizations across education, healthcare, community living, and senior services. Local Education Agencies, Centers for Independent Living, and key state partners—including the Division of Developmental Disabilities, the Bureau of Special Health Care Needs, and the state education agency—collectively account for more than half of all referrals. These referrals come from every region of the state, demonstrating the strong partnerships and broad reach that underpin our programs.
This year, we worked to shift from this provider-focused network by expanding opportunities to connect directly with consumers and their families. These efforts aim to increase awareness of MoAT’s programs and services among the people who benefit from them most.
Notes:
Coordination/Collaboration and State Improvement Outcomes
Overview of Coordination/Collaboration Activities
Yes
Yes
Missouri Assistive Technology collaborates often and in a variety of ways with Missouri’s state department of education. The most impactful collaboration is the Assistive Technology Reimbursement Program. Through this program, which can be accessed by the state’s public, charter and State Schools for the Severely Disabled, schools who have students that have assistive technology included in their IEP’s are able to seek reimbursement for assistive technology that they purchase for these students. Funds utilized for this program are IDEA Part B funds provided by the state education agency to Missouri Assistive Technology who then administers the program.
The ATR Program this reporting period assisted 317 students in 114 different school districts access 387 devices or AT systems. The most important measurable impact is that increased access to the curriculum these students now have as a result of their access to AT. This program helps us to continue our AT awareness efforts within the states 500+ school districts, many of which are rural. This is a long standing program we anticipate will continue as long as funds are available from the federal level to the state.
https://at.mo.gov/at-reimbursement-for-schools/
3. What focus areas(s) were addressed by the initiative?
Education,
4. What AT Act authorized activity(s) were addressed?
State Financing,
Yes
Yes
Missouri has both a regular Vocational Rehabilitation agency and a rehabilitation services for the blind agency. We frequently collaborate with both organizations. Both staff and the consumers served by these agencies benefit from these collaborations. We utilize primarily federal funds for these efforts.
The most impactful outcome has been to increase knowledge and access to assistive technology, primarily among counselors. A training on assistive technology and our services is a "baked-in" element of our state VR agencies new counselor training with approximately 50 new counselors be presented to this past year. These trainings make counselors more comfortable in thinking through assistive technology needs with their clients and being more apt to reach out to us for guidance on the situations that they encounter. This has been a fruitful partnership that has resulted in the provision of additional training on specific AT topics to counselors, working in tandem to fund assistive technology, and greater utilization of our device loan program. This will be on on-going collaboration that we expect to grow each year.
3. What focus areas(s) were addressed by the initiative?
Employment,
4. What AT Act authorized activity(s) were addressed?
Device Loan, Demo, Training,
Yes
Yes
Missouri’s State Plan on Aging for 2024-2027 includes several direct references to Missouri Assistive Technology. Of most significance, is that it recognizes that assistive technology is a major component of aging in place and it outlines specific objects and strategies with involve MoAT including the establishment of a referral process to help participants obtain assistive technology and that each AAA will provide community education about home modification and assistive technology services available in their planning and service area.
This collaboration is at the early stages so measurable outcomes are minimal, but do include an increase in training to AAA's in the state and an increase in individuals seeking information and assistance on AT for older adults, This collaboration will increase are reach into this demographic and into areas of the state (south central, northwest and northeast) that we have not traditionally had a strong presence in.
3. What focus areas(s) were addressed by the initiative?
Aging,
4. What AT Act authorized activity(s) were addressed?
Training, Information & Assistance, Public Awareness,
Yes
No
To date, we have not been able to find a common issues around which to develop a collaboration.
Additional Coordination/Collaboration activities
0
Overview of State Improvement Activities
State improvement outcomes are not required. You may report up to two MAJOR state improvement outcomes for this reporting period. How many will you be reporting?
00
Additional And Leveraged Funds
Did you have Additional and Leveraged Funding to Report?
Yes
A. Leveraged Funding for State Plan Activities
Fund Source
Amount
Use of Funds
Data Reported
Private
$30,000
Training
True
Federal
$174,487
State Financing
True
Public/State Agency
$100,000
State Financing
True
Public/State Agency
$91,279
State Financing
True
Public/State Agency
$700,000
State Financing
True
State Appropriations
$795,751
State Financing
True
Amount: $1,891,517
For any leveraged funding reported above for which data could not be reported, please describe the extenuating circumstances that precluded data from being reported and efforts to remediate the situation in future reporting periods.
B. Public Health Workforce Grant Award
All Section 4 AT Act grantees were awarded $80,000.00 in supplemental Public Health Workforce grant funding to increase the number of positions within the disability and aging network for public health professionals. Please document below the cumulative status of these funds, FY22 through FY25, as a final closeout report.
Please report the total amount expended (drawn down and liquidated) from FY22 through FY25:
|
$80,000.00
Please check all position types that were supported with these funds over the period of FY22-25. This can be a direct employee or contractual position.
Please describe the activities of the above FTE and how such activities advance public health.
The individual supported through the funds was a contract employee who assisted MoAT in No Wrong Door activities tied to improving long-term supports for individuals with disabilities in Missouri.
C. Describe any unique issues with your data in this section (e.g., the reason why you were unable to report the number of individuals served with additional or leveraged funds).